Professional Medical

LBN: San Angelo Healthcare, Inc
Professional Medical is an health care organization with primary practice located at 4102 Buffalo Gap Rd Ste J , Abilene TX 79605-7243. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. San Angelo Healthcare, Inc can be contacted via phone (325) 672-1585, or through George, Bob via phone (325) 653-1077.

Contact Information

Primary practice address
4102 Buffalo Gap Rd Ste J Abilene TX 79605-7243
Phone: (325) 672-1585
Fax: (325) 672-1475
Website:
Map and Directions
Authorized official contact:
Name: George, Bob
Phone: (325) 653-1077

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1659339612
LBN Legal business name San Angelo Healthcare, Inc
DBA Doing business as Professional Medical
Authorized official George, Bob
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Mar 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659339612 NPPES
Texas Other 503791 BLUE CROSS/ BLUE SHIELD
Texas MEDICAID 143518201, 143518202 BLUE CROSS/ BLUE SHIELD

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